Blake W Tarr, O.D.
Individual provider Active NPI Optometrist · New Market, TN
NPI 1235323759 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1235323759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2482 (TN)
- Practice address
- 555 W Highway 11E
New Market, TN 37820-4305 - Phone
- (865) 475-6565
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
555 W Hwy 11 E
New Market, TN 37820
Phone (856) 475-6565
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 71 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050107000635 | TN | Practitioner - Optometry | 9638127491 | Practice locations: New Market, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2482 | TN | Yes |
| Corneal and Contact Management Optometrist | 152WC0802X | 2482 | TN | |
| Pediatric Optometrist | 152WP0200X | 2482 | TN | |
| Sports Vision Optometrist | 152WS0006X | 2482 | TN |
Addresses
Primary practice location
555 W Highway 11E
New Market, TN 37820-4305
Mailing address
PO Box 766
Jefferson City, TN 37760-0766
Phone (865) 475-6565
Other providers in New Market, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.